Nursing Practice II – Community Health Nursing and Care of Mother and Child
Community Health Nursing / O.B. (Obstetric)
PART 1 Board Exam test questions 1 - 50
Situation 1: Mariah is a 31 year old lawyer who has been married for 6 moths. She consults you for guidance in relation with her menstrual cycle and her desire to get pregnant.
1. She wants to know the length of her menstrual cycle. Her periodic menstrual period is October 22 to 26. Her LMB is November 21. Which of the following number of days will be your correct response?
A. 29
B. 28
C. 30
D. 31
2. You advised her to observe and record the signs of Ovulation. Which of the following signs will she likely note down?
1. A 1 degree Farenheit rise in basal body temperature
2. Cervical mucus becomes copious and clear
3. One pound increase in weight
4. Mitteischmerz
A. 1,2,4 B. 1,2,3 C. 2,3,4 D. 1,3,4
3. You instruct Mariah to keep record of her basal temperature everyday, which of the following instructions is incorrect?
A. If coitus has occured, this should be reflected in the chart
B. It is best to have coitus on the evening following a drop in BBT to become pregnant
C. Temperature should be taken immediately after waking and before getting put of bed
D. BBT is lowest during the secretory phase
4. She reports an increase in BBT on December 16. Which hormone brings about this change in her BBT?
A. Estrogen
B. Progesterone
C. Gonadootrophine
D. Follicle Stimulating Hormone
5. The following month, Mariah suspects she is pregnant. Her urine is positive for Human Chorionic Gonadotrophin. Which structure produce HCG?
A. Pituitary Gland
B. Trophoblastic cells of the embryo
C. Uterine deciduas
D. Ovarian follicles
Situation 2: Mariah came back and she is now pregnant.
6. At 5 moths gestation, which of the following fetal development would probably be expected:
A. Fetal development are felt by Mariah
A. Fetal development are felt by Mariah
B. Vernix caseosa covers the entire body
C. Viable if delivered within this period
D. Braxton hicks contractions are observed
7. The nurse palpates the abdomen of Mariah. Now at 5 month gestation, what level of the abdomen can be the fundic height be palpated?
A. Symphysis pubis
B. Midpoint between the umbilicus and the xiphoid process
C. Midpoint between the Symphysis pubis the umbilicus
D. Umbilicus
8. She worries about her small breast, thinking that she probably will incapable to breastfeed her baby. Which of the following responses of the nurse is correct?
A. “The size of your breast will not affect your lactation.”
B. “You can switch to bottle feeding.”
C. “You can try to have exercise to increase the size of your breast.”
D. “Manual expression of milk is possible.”
9. She tells the nurse that she does not take milk regularly. She claims that she does not want to gain too much weight during her pregnancy. Which of the following nursing diagnosis is a priority?
A. Potential self-esteem disturbance related to physiologic changes in pregnancy
B. Ineffective individual coping related to physiologic changes in pregnancy
C. Fear related to the effects of pregnancy
D. Knowledge deficit regarding nutritional requirements pregnancies related to lack of information sources.
10. Which of the following interventions will likely ensure compliance of Mariah?
A. Incorporate her food preferences that are adequately nutritious in her meal plan.
B. Consistently counsel toward optimum nutritional intake
C. Respect her right to reject dietary information if she chooses
D. Information of the adverse effects of inadequate nutrition to her fetus
Situation 3: Susan is a patient in the clinic where you work. She is inquiring about pregnancy.
11. Susan tells you she is worried because she develops breast later than most of her friends. Breast development is termed as:
A. Adrenarche
B. Mamarche
C. Thelarche
D. Menarche
12. Kevin, Susan’s husband tells you that he is considering vasectomy. After the birth of their new child. Vasectomy involves the incision of which organ?
A. The testes
B. The vas deferens
C. The epididymis
D. The scrotum
13. On examination, Susan has been found of having a cystocele. A cystocele is:
A. A sebaceous cyst arising from the vulvar fold.
B. Protrusion of intestines into the vagina
C. Prolapse of the uterus into the vagina
D. Herniation of the bladder into the vaginal wall.
14. Susan typically has menstrual cycle of 34 days. She told you she had a coitus on days 8, 10 and 20 of her menstrual cycle. Which is the day on which she is most likely to conceive?
A. 8th day
B. 10th day
C. Day 15
D. Day 20
15. While taking with Susan, 2 new patients arrived and they are covered with large towels and the nurse noticed that there are many cameraman and news people outside of the OPD. Upon assessment the nurse noticed that both of them are still nude and the male client’s penis is still inside the female client’s vagina and the male client said that “I can’t pull it.” Vaginismus was your first impression. You know that the psychological cause of Vaginismus is related to:
A. The male client inserted the penis too deeply that it stimulates vaginal closure
B. The penis was too large that’s why the vagina triggered it’s defense to attempt to close
C. The vagina do not want to be penetrated
D. It is due to learning patterns of the female client where she views sex as bad or sinful.
Situation 4: Overpopulation is one problem in the Philippines
16. Supposed that Dana, 17 years old, tells you she wants to use fertility awareness method of contraception. How will she determine her fertile days?
A. She will notice that she feels hot as if she has an elevated temperature
B. She should assess whether her cervical mucus is thin colour, clear and watery.
C. She should monitor her emotions fro sudden anger or crying
D. She should assess whether her breast feel sensitive to cool air.
17. Dana chooses to use COC as her family planning method, what is the danger sign of COC you would ask her to report?
A. A stuffy or runny nose
B. Arthritis like symptoms
C. Slight weight gain
D. Migraine headache
18. Dana asks about subcutaneous implants and she asks how long will these implants be effective. Your best answer is:
A. One month
B. Twelve month
C. Five years
D. 10 years
19. Dana asks about female condoms. Which of the following is true with regards to female condoms?
A. The hormone the condom releases might cause mild weight gain.
B. She should insert the condom before any penile penetration
C. She should coat the condom with spermecide before use
D. Female condoms unlike male condoms are reusable.
20. Dana has asked about GIFT procedure. What makes her a good candidate for GIFT?
A. She has patent fallopian tubes, so fertilized ova can be implanted on them.
B. She is RH negative, a necessary stipulation to rule out RH incompatibity.
C. She has normal uterus, so the sperm can be injected through the cervix into it.
D. Her husband is taking sildenafil, so all sperms will be motile.
Situation 5 – Nurse Lorena is a Family Planning and Infertility Nurse Specialist and currently attends to FAMILY PLANNING CLIENTS AND INFERTILE COUPLES. The following conditions pertain to meeting the nursing needs of this particular population group.
21. Dina, 17 years old, asks you how a tubal ligation prevents pregnancy. Which would be the best answer?
A. Prostaglandins released from the cut fallopian tubes can kill sperm
B. Sperm can not enter the uterus because the cervical entrance is blocked.
C. Sperm can no longer reach the ova, because the fallopian tubes are
blocked
D. The ovary no longer releases ova as there is no where for them to go.
22. The Dators are a couple undergoing testing for infertility. Infertility is said to exist when:
A. a woman has no uterus
B. a woman has no children
C. a couple has been trying to conceive for 1 year
D. a couple has wanted a child for 6 months
23. Another client named Lilia is diagnosed as having endometriosis. This condition interferes with fertility because:
A. endometrial implants can block the fallopian tubes
B. the uterine cervix becomes inflamed and swollen
C. the ovaries stop producing adequate estrogen
D. pressure on the pituitary leads to decreased FSH levels
24. Lilia is scheduled to have a hysterosalphingogram. Which of the following instructions would you give her regarding this procedure?
A. She will not be able to conceive for 3 months after the procedure
B. The sonogram of the uterus will reveal any tumors present
C. Many women experience mild bleeding as an after effect
D. She may feel some cramping when the dye is inserted
25. Lilia’s cousin on the other hand, knowing nurse Lorena’s specialization asks what artificial insemination by donor entails. Which would be your best answer if you were Nurse Lorena?
A. Donor sperm are introduced vaginally into the uterus or cervix
B. Donor sperm are injected intra-abdominally into each ovary
C. Artificial sperm are injected vaginally to test tubal patency
D. The husband’s sperm is administered intravenously weekly
Situation 6: You are assigned to take care of a group of patients across the lifespan.
26. Pain in the elder persons require careful assessment because they:
A. Experienced reduce sensory perception
B. Have increased sensory perception
C. Are expected to experience chronic pain
D. Have decreased pain threshold
27. Administration of analgesics to the older persons require careful patient assessment because older people:
A. Are more sensitive drugs
B. Have increased hepatic, renal, and gastrointestinal function
C. Have increased sensory perception
D. Mobilize drugs more rapidly
28. The elderly patient is at higher risk for urinary incontinence because:
A. Increased glomerular filtration
B. Diuretic use
C. Decreased bladder capacity
D.
29. Which of the following is the MOST COMMON sign of infection among the elderly?
A. Decreased breath sounds with crackles
B. Fever
C. Pain
D. Change in the mental status
30. Priorities when caring for the elderly trauma patient:
A. Circulation, airway, breathing
B. Disability(Neurologic), airway, breathing
C. Airway, Breathing, Disability(Neurologic),
D. Airway, breathing, Circulation
31. Preschoolers are able to see things from which of the following perspectives?
A. Their peers
B. Their own and their caregivers
C. Their own and their mother’s
D. Only their own
32. In conflict management, the win-win approach occurs when:
A. There are two conflicts and the parties agree to each one
B. Each party gives in on 50% of the disagreement making the conflict
C. Both parties involved are committed in solving the conflict
D. The conflict is settled out of court so the legal system mandates parties win.
33. According to the social-International perspective of child abuse and neglect, four factors place the family members at risk for abuse, these risk factors are the family members at risk for abuse. These risk factors are the family itself, the caregiver, the child and:
A. The presence of a family crisis
B. Genetics
C. The national emphasis on sex
D. Chronic poverty
34. Which of the following signs and symptoms would you most likely find when assessing an infant with Arnold-Chari malformation?
A. Weakness of the leg muscles, loss of sensation in the legs, and restlessness
B. Difficulty swallowing, diminished or absent gag reflex and respiratory distress
C. Difficulty sleeping, hypervigilant and an arching of the back
D. Paradoxical irritability, diarrhea and vomiting
35. A parent calls you and frantically reports that her child has gotten into her famous ferrous sulfate pills and ingested a number of these pills. Her child is now vomiting, has bloody diarrhea and is complaining of abdominal pain. You will tell the mother to:
A. Call emergency medical services (EMS ) and get the child to the emergency room
B. Relax because these symptoms will pass and the child will be fine
C. Administer syrup of pecac
D. Call the poison control center
36. A client says she heard from a friend that you stop having periods once you are on the “pill.” The most appropriate response would be:
A. “The pill prevents the uterus from making such endometrial lining, that is why period may often be scant or skipped occasionally.”
B. “If your friend has missed her period, she should stop taking the pills and get a pregnancy test.”
C. “The pill should cause a normal menstrual period every month. It sounds like your friend has not been taking the pills properly.”
D. Missed period can be very dangerous and may lead to the formation of precancerous cells.”
37. The nurse assessing newborn babies and infants during their hospital stay notice which of the following symptoms as a primary manifestation of Hirschprung’s disorder?
A. A fine rash over the trunk
B. Failure to pass meconium during the first 24 hours after birth
C. The skin turns yellow and then brown over the first 24 hours to 46 hours after birth.
D. High grade fever.
38. A client is 7 months pregnant and has just been diagnosed as having a partial placenta previa. She is able and has minimal spotting and is being sent home. Which of these instructions to the client may indicate a need for further teaching?
A. Maintain bed rest with bathroom privileges
B. Avoid intercourse for three days
C. Call if contractions occur.
D. Stay on left side as much as possible when lying down.
39. A woman has been rushed to the hospital with ruptured membrane. Which of the following should the nurse check first?
A. Check for the presence of infarction.
B. Assess for Prolapse of the umbilical cord
C. Check the maternal heart rate
D. Assess the color of the amniotic fluid
40. The nurse notes that the infant is wearing a plastic-coated diaper. If a topical medication were to be prescribed and it were to go on the stomachs or buttocks, the nurse would teach the caregivers to:
A. Avoid covering the area of the topical medication with the diaper
B. Avoid the use of clothing on top of the diaper
C. Put the diaper on as usual
D. Apply an icepack for 5 minutes to the outside of the diaper
41. Which of the following factors is most important in determining the success of relationships used in delivering nursing care?
A. Type of illness of the client
B. Transference and counter Transference
C. Effective communication
D. Personality of the participants
42. Grace sustained a laceration on her leg from automobile accident. Why are lacerations of lower extremities potentially more serious among pregnant women than other?
A. lacerations can provoke allergic responses due to gonadotropic hormone release
B. a woman is less able to keep the laceration clean because of her fatigue
C. healing is limited during pregnancy so these will not heal until after birth
D. increased bleeding can occur from uterine pressure on leg veins
43. In working with the caregivers of a client with an cute or chronic illness, the nurse would:
A. Teach care daily and let the caregivers do a return demonstration just before discharge
B. Difficulty swallowing, diminished or absent gag reflex and respiratory distress
C. Difficulty sleeping, hypervigilant and arching of the back
D. Paradoxical irritability, diarrhea and vomiting
44. Which of the following roles BEST exemplifies the expanded role of the nurse?
A. Circulating nurse in surgery
B. Medication nurse
C. Obstretical nurse
D. Pediatric nurse practitioner
45. According to De Rosa and Kochura’s (2006) article entitled “Implement Culturally Health Care in your workplace,” cultures have different patterns of verbal and nonverbal communication. Which difference does NOT necessarily belong?
A. Personal behaviour
B. Eye contact
C. Subject Matter
D. Conversational style
46. You are the nurse assigned to work with a child with acute glomerulonephritis. By following the prescribed treatment regimen, the child experiences a remission. You are now checking to make sure the child does not have a relapse. Which finding most lead you to the conclusion that a relapse is happening?
A. Elevated temperature, cough, sore throat, changing complete blood count (CBC) with differential count
B. A urine dipstick measurement of 2+ proteinuria or more for 3 days or the child found to have 3-4+ proteinuria plus edema.
C. The urine dipstick showing glucose in the urine for 3 days, extreme thirst, increase in urine output and a moon face.
D. A temperature of 37.8 degrees (100 degrees F) flank pain, burning frequency, urgency on voiding and cloudy urine.
47. The nurse is working with an adolescent who complains of being lonely and having a lack of fulfilment in her life. This adolescent shies away from intimate relationships at times yet at other times she appears promiscuous. The nurse will likely work with this adolescent in which of the areas?
A. Isolation
B. Loneliness
C. Lack of fulfilment
D. Identity
48. The use of interpersonal decision making psychomotor skills and application of knowledge expected in the role of a licensed health care professional in the context of public health welfare and safety as an example of?
A. Delegation
B. Supervision
C. Responsibility
D. Competence
49. The painful phenomenon known as back labor occurs in a client whose fetus in what position?
A. Brow position
B. Right occipito-Anterior Position
C. Breech position
D. Left occipito-Posterior Position
50. Focus methodology stands for?
A. Focus, Organize, Clarify, Understand and Solution
B. Focus, Opportunity , Continuous, Utilize, Substantiate
C. Focus, Organize, Clarify, Understand, Substantiate
D. Focus, Opportunity , Continuous (process), Understand, Solution
CLICK HERE PART 2 (51 - 100) 'NP2 Nursing Board Exam November 2008 Answer Key Community Health Nursing and Care of Mother and Child'
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